The AP of the whole pelvis (not shown on the X-rays on this page) should be fully assessed because pelvic fractures can mimic the clinical features of a hip fracture. Standard viewsĪP (Anterior-Posterior) pelvis and Lateral hip. Particular care is needed in assessing the X-ray when physical examination is limited, for example if a patient is acutely confused. Repeat X-rays, CT or MRI may be required if pain persists. In this case the X-ray may not show an obvious fracture. It is important to be aware that the common clinical signs of a shortened and externally rotated leg may be absent if the fracture is not displaced. Many hip fractures are clinically and radiologically obvious. Remember to assess the surrounding pelvic bonesįractures of the proximal femur or 'hip' are a common clinical occurrence in elderly, osteoporotic patients.Particular caution is required in the case of acutely confused patients.Not all hip fractures are visible on the initial X-ray and follow-up imaging may be required if concern remains.Treatment of a femoral neck fracture depends on your age and whether the ball has been displaced. Hip fractures can be surgically treated with external fixation, intramedullary fixation, or by using plates and screws. Types There are several types of hip fractures: Femoral Neck Fractures : A femoral neck fracture occurs when the ball of the ball-and-socket hip joint is fractured off the top of the femur (thigh bone). These heavy weights help in correcting the misaligned bones until the injury heals. Skeletal traction may be applied under local anesthesia, where screws, pins, and wires are inserted into the femur, and a pulley system is set up at the end of the bed to bear heavy weights. Traction may be an option to treat your condition if you are not fit for surgery. Hip fractures can be corrected and aligned with non-operative and operative methods: Other imaging tests, such as magnetic resonance imaging (MRI), may also be performed to detect the fracture.ĭepending on the area of the femur involved, hip fractures are classified as: Your doctor may order an X-ray to diagnose your hip fracture. Outward or inward turning of the foot and knee of the injured leg.The signs and symptoms of hip fractures include: The long-term use of certain medicines increases your risk for hip fractures. Hip fracture is most frequently caused after minor trauma in elderly patients with weak bones, and by high-energy trauma or serious injuries in the young. This helps you improve your range of motion and muscle strength even with limited movement. However, your doctor may recommend weight-bearing exercises you can do in bed. Hip fractures can occur either due to a break in the femoral neck, in the area between the greater and lesser trochanter or below the lesser trochanter. For non-surgical treatments of hip fractures, it may take around 12 weeks of bed confinement. The lesser trochanter projects from the base of the femoral neck on the back of the thighbone. The thighbone has two bony processes on the upper part - the greater and lesser trochanters. The joint surface is covered by a smooth articular surface that allows pain-free movement in the joint.Ī hip fracture is a break that occurs near the hip in the upper part of the femur or thighbone. The “ball” is the head of the femur or thighbone, and the “socket” is the cup-shaped acetabulum. A break on the pelvic side of the joint is not a hip fracture. The hip joint is a “ball and socket” joint. Hip fractures occur when the top part of the thigh bone breaks. Home / Patient Info / Hip / Hip Fracture Hip Fracture What is Hip Fracture?
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